| NPI | 1508082843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 0646) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: TN 0037) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-03-09 |